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Arch Hellen Med, 17(5), September-October 2000, 477-490
REVIEW
Proliferation and apoptosis of germ cells
 R. ANGELOPOULOU, V. KARAYIANNIS
  Laboratory of Histology and Embryology, Medical 
  School, University of Athens, Greece
  
  Cell proliferation and apoptosis are observed at various phases of gametogenesis 
  and are important for germ cell development and differentiation. Numerous factors 
  are involved in the control of both processes acting in concert to ensure the 
  normal evolution of spermatogenesis and oogenesis. Apoptosis is the main cause 
  of elimination of germ cells during the fetal period in both sexes. In the female, 
  it follows the phase of intense proliferation and the entry into the meiotic 
  prophase I. In the male, it occurs later, during the perinatal and the prepubertal 
  period. The quantitative distribution pattern of Ki-67 protein and the proliferating 
  cell nuclear antigen (PCNA) are used to investigate mitotic activity in gonadal 
  biopsies during the reproductive period. Τhe characteristic morphology of the 
  apoptotic cells detected by the electron microscope and the in situ 3’ 
  end labeling procedure of nuclear DNA fragmentation enables their localisation 
  on histological sections. The observation of low molecular weight DNA after 
  gel fractionation and electrophoresis provides biochemical evidence of apoptotic 
  cell death in the germ cells while quantitative estimation is made by flow cytometry. 
  Recent advances in the understanding of the mechanism of apoptosis, the regulating 
  role of the pro-apoptotic and anti-apoptotic genes and the different families 
  of proteins involved in normal gametogenesis, along with analysis of the factors 
  implicated in apoptosis of the testis and sperm in association with cell proliferation 
  under normal conditions, should elucidate the mechanisms ensuring gonadal homeostasis 
  and reveal the causes of infertility.
Key words: Apoptosis, Cell proliferation, Germ cells, Oogenesis, Spermatogenesis.